Senate Study Bill 1130 - Introduced SENATE/HOUSE FILE _____ BY (PROPOSED DEPARTMENT OF COMMERCE/INSURANCE DIVISION BILL) A BILL FOR An Act relating to various matters under the purview of 1 the insurance division of the department of commerce, 2 providing fees, making an appropriation, and resolving 3 inconsistencies. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 1333XD (7) 89 ko/rn
S.F. _____ H.F. _____ DIVISION I 1 UNIFORM SECURITIES 2 Section 1. Section 502.304A, subsection 3, paragraph g, 3 Code 2021, is amended to read as follows: 4 g. The issuer must pay to the administrator a fee of one 5 hundred dollars established by the administrator by rule and 6 is not required to pay the filing fee set forth in section 7 502.305, subsection 2 . 8 Sec. 2. Section 502.304A, subsection 5, Code 2021, is 9 amended to read as follows: 10 5. Agent registration. In connection with an offering 11 registered under this section , a person may be registered as 12 an agent of the issuer under section 502.402 by the filing of 13 an application by the issuer with the administrator for the 14 registration of the person as an agent of the issuer and the 15 paying of a fee of ten dollars established by the administrator 16 by rule . Notwithstanding any other provision of this chapter , 17 the registration of the agent shall be effective until 18 withdrawn by the issuer or until the securities registered 19 pursuant to the registration statement have all been sold, 20 whichever occurs first. The registration of an agent shall 21 become effective when ordered by the administrator or on the 22 fifth business day after the agent’s application has been 23 filed with the administrator, whichever occurs first, and the 24 administrator shall not impose further conditions upon the 25 registration of the agent. However, the administrator may 26 deny, revoke, suspend, or withdraw the registration of the 27 agent at any time as provided in section 502.412 . An agent 28 registered solely pursuant to this section is entitled to sell 29 only securities registered under this section . 30 Sec. 3. Section 502.321G, Code 2021, is amended to read as 31 follows: 32 502.321G Fees. 33 The administrator shall charge a nonrefundable filing fee of 34 two hundred fifty dollars established by the administrator by 35 -1- LSB 1333XD (7) 89 ko/rn 1/ 50
S.F. _____ H.F. _____ rule for a registration statement filed by an offeror. The fee 1 shall be deposited as provided in section 505.7 . 2 Sec. 4. Section 502.410, Code 2021, is amended to read as 3 follows: 4 502.410 Filing fees. 5 1. Broker-dealers. A person shall pay a fee of two hundred 6 dollars established by the administrator by rule when initially 7 filing an application for registration as a broker-dealer 8 and a fee of two hundred dollars when filing a renewal of 9 registration as a broker-dealer. If the filing results in a 10 denial or withdrawal, the administrator shall retain the fee. 11 2. Agents. The fee for an individual is forty dollars 12 when filing an application for registration as an agent, a 13 fee of forty dollars when filing a renewal of registration 14 as an agent, and a fee of forty dollars when or filing for a 15 change of registration as an agent shall be established by the 16 administrator by rule . Of each forty-dollar fee collected, ten 17 dollars twenty-five percent is appropriated to the securities 18 investor education and financial literacy training fund 19 established under section 502.601, subsection 5 . If the filing 20 results in a denial or withdrawal, the administrator shall 21 retain the fee. 22 3. Investment advisers. A person shall pay a fee of one 23 hundred dollars established by the administrator by rule when 24 filing an application for registration as an investment adviser 25 and a fee of one hundred dollars when filing a renewal of 26 registration as an investment adviser. If the filing results 27 in a denial or withdrawal, the administrator shall retain the 28 fee. 29 4. Investment adviser representatives. 30 a. The fee for an individual is thirty dollars when filing 31 an application for registration as an investment adviser 32 representative, a fee of thirty dollars when filing a renewal 33 of registration as an investment adviser representative, and a 34 fee of thirty dollars or when filing a change of registration 35 -2- LSB 1333XD (7) 89 ko/rn 2/ 50
S.F. _____ H.F. _____ as an investment adviser representative shall be the amount 1 established by the administrator by rule . If the filing 2 results in a denial or withdrawal, the administrator shall 3 retain the fee. 4 b. However, an An investment adviser representative is shall 5 not be required to pay a filing fee if the investment adviser 6 is a sole proprietorship or the substantial equivalent , and the 7 investment adviser representative is the same individual as the 8 investment adviser. 9 5. Federal covered investment advisers. A federal covered 10 investment adviser required to file a notice under section 11 502.405 shall pay an initial fee of one hundred dollars and 12 an annual notice fee of one hundred dollars in an amount 13 established by the administrator by rule . 14 6. Payment. A person required to pay a filing or notice 15 fee under this section may transmit the fee through or to a 16 designee as a permitted by the administrator by rule or by 17 order provides issued by the administrator under this chapter . 18 7. Deposit of fees. Except as otherwise provided in 19 subsection 2 , fees collected under this section shall be 20 deposited as provided in section 505.7 . 21 DIVISION II 22 INSURANCE 23 Sec. 5. Section 505.30, subsection 2, Code 2021, is amended 24 to read as follows: 25 2. The commissioner may collect a reasonable fee , 26 established by the commissioner by rule, each time service of 27 process is made on the commissioner as set forth in subsection 28 1 or as otherwise allowed by law. A fee collected by the 29 commissioner under this subsection shall be used and is 30 appropriated to the insurance division to offset the costs 31 of the commissioner acting as agent or attorney for service 32 of process. The party to a proceeding requesting service of 33 process is entitled to recover the fee paid pursuant to this 34 subsection and any rules adopted under this section as costs if 35 -3- LSB 1333XD (7) 89 ko/rn 3/ 50
S.F. _____ H.F. _____ the party prevails in the proceeding. 1 Sec. 6. Section 507A.4, subsection 9, Code 2021, is amended 2 by striking the subsection and inserting in lieu thereof the 3 following: 4 9. Transactions involving a multiple employer welfare 5 arrangement as defined in section 3 of the federal Employee 6 Retirement Income Security Act of 1974, 29 U.S.C. §1002, 7 paragraph 40, or a multiple employer welfare arrangement formed 8 as an association health plan pursuant to 29 C.F.R. pt. 2510 9 that complies with chapter 513D. 10 Sec. 7. Section 507B.7, Code 2021, is amended to read as 11 follows: 12 507B.7 Cease and desist orders Orders and penalties. 13 1. If, after hearing, the commissioner determines that a 14 person has engaged in an unfair method of competition or an 15 unfair or deceptive act or practice, the commissioner shall 16 reduce the findings to writing and shall issue and cause to 17 be served upon the person charged with the violation a copy 18 of such findings, an order requiring such person to cease 19 and desist from engaging in such method of competition, act, 20 or practice, and the commissioner may at the commissioner’s 21 discretion order any one or more of the following: 22 a. Payment of a civil penalty of not more than one thousand 23 dollars for each act or violation of this subtitle, but not 24 to exceed an aggregate of ten thousand dollars, unless the 25 person knew or reasonably should have known the person was in 26 violation of this subtitle, in which case the penalty shall be 27 not more than five thousand dollars for each act or violation, 28 but not to exceed an aggregate penalty of fifty thousand 29 dollars in any one six-month period. If the commissioner finds 30 that a violation of this subtitle was directed, encouraged, 31 condoned, ignored, or ratified by the employer of the person or 32 by an insurer, the commissioner shall also assess a penalty to 33 the employer or insurer. 34 b. Suspension or revocation of the license of a person as 35 -4- LSB 1333XD (7) 89 ko/rn 4/ 50
S.F. _____ H.F. _____ defined in section 507B.2, subsection 1 , if the person knew or 1 reasonably should have known the person was in violation of 2 this subtitle. 3 c. Payment of interest at the rate of ten percent per 4 annum if the commissioner finds that the insurer failed to 5 pay interest as required under section 507B.4, subsection 3 , 6 paragraph “p” . 7 2. Until the expiration of the time allowed under section 8 507B.8 for filing a petition for review if no such petition has 9 been duly filed within such time, or, if a petition for review 10 has been filed within such time, then until the transcript of 11 the record in the proceeding has been filed in the district 12 court, the commissioner may at any time, upon such notice and 13 in such manner as the commissioner may deem proper, modify 14 or set aside in whole or in part any order issued by the 15 commissioner under this section . 16 3. After the expiration of the time allowed for filing 17 such a petition for review if no such petition has been duly 18 filed within such time, the commissioner may at any time, after 19 notice and opportunity for hearing, reopen and alter, modify, 20 or set aside, in whole or in part, any order issued by the 21 commissioner under this section , whenever in the commissioner’s 22 opinion conditions of fact or of law have so changed as 23 to require such action, or if the public interest shall so 24 require. 25 4. Any person who violates a cease and desist an order 26 of the commissioner, and while such order is in effect, may, 27 after notice and hearing and upon order of the commissioner, 28 be subject at the discretion of the commissioner to any one or 29 more of the following: 30 a. A monetary penalty of not more than ten thousand dollars 31 for each and every act or violation. A penalty collected 32 under this lettered paragraph shall be deposited as provided 33 in section 505.7 . 34 b. Suspension or revocation of such person’s license. 35 -5- LSB 1333XD (7) 89 ko/rn 5/ 50
S.F. _____ H.F. _____ Sec. 8. Section 507E.2, Code 2021, is amended to read as 1 follows: 2 507E.2 Purpose Insurance fraud bureau . 3 1. An insurance fraud bureau is created within the insurance 4 division. Upon a reasonable determination by the division, by 5 its own inquiries or as a result of a complaint filed with the 6 division, that a person has engaged in, is engaging in, or may 7 be engaging in an act or practice that violates any provision 8 of the Code subject to the jurisdiction of the commissioner, 9 the division may administer oaths and affirmations, serve 10 subpoenas ordering the attendance of witnesses, and collect 11 evidence related to such act or practice. 12 2. An insurance fraud bureau investigator shall be no older 13 than sixty-five years of age. 14 Sec. 9. Section 507E.2A, subsection 2, Code 2021, is amended 15 to read as follows: 16 2. “Insurer” includes an insurer means any corporation, 17 association, partnership, or individual engaged in the business 18 of insurance, including but not limited to a corporation, 19 association, partnership, or individual that issues a policy 20 of workers’ compensation, a self-insured business for purposes 21 of workers’ compensation liability, or a group or self-insured 22 plan as described in section 87.4 . “Insurer” does not include 23 a person required to be licensed to sell, solicit, or negotiate 24 insurance pursuant to chapter 522B. 25 Sec. 10. Section 507E.8, Code 2021, is amended to read as 26 follows: 27 507E.8 Law enforcement authority. 28 1. An individual employed by the division and designated as 29 a peace officer shall be considered a law enforcement officer 30 as that term is defined in section 80B.3, and shall exercise 31 the powers of a law enforcement officer as follows: 32 a. For purposes of an arrest resulting from a criminal 33 violation of any provision of the Code subject to the 34 jurisdiction of the commissioner established as a result of 35 -6- LSB 1333XD (7) 89 ko/rn 6/ 50
S.F. _____ H.F. _____ an investigation pursuant to this chapter , an insurance fraud 1 bureau investigator shall have the authority and status of a 2 law enforcement officer pursuant to section 80B.3, subsection 3 3 . 4 b. While conducting an investigation or engaged in an 5 assignment authorized by this chapter or ordered by the 6 commissioner. 7 c. To protect life if a public offense is committed in the 8 presence of the peace officer. 9 d. While providing assistance to a law enforcement agency or 10 another law enforcement officer. 11 e. While providing assistance at the request of a member of 12 the public. 13 2. The laws Laws applicable to an arrest of an individual 14 by a law enforcement officer of the state shall apply to an 15 insurance fraud bureau investigator individual employed by 16 the division and designated as a peace officer . An insurance 17 fraud bureau investigator individual employed by the division 18 and designated as a peace officer shall have the power to 19 execute arrest warrants and search warrants, serve subpoenas 20 issued for the examination, investigation, and trial of all 21 offenses identified through the course of an investigation 22 conducted pursuant to this section , and arrest upon probable 23 cause without warrant a person found in the act of committing 24 a violation of a provision of this chapter or a law of this 25 state . 26 Sec. 11. Section 508E.2, subsection 14, Code 2021, is 27 amended to read as follows: 28 14. “Viatical settlement broker” means a person, including 29 a life insurance producer as provided for in section 508E.3 , 30 who, working exclusively on behalf of a viator and for a fee, 31 commission, or other valuable consideration, offers or attempts 32 to negotiate viatical settlement contracts between a viator 33 and one or more viatical settlement providers or one or more 34 viatical settlement brokers. Notwithstanding the manner in 35 -7- LSB 1333XD (7) 89 ko/rn 7/ 50
S.F. _____ H.F. _____ which the viatical settlement broker is compensated, a viatical 1 settlement broker is deemed to represent only the viator, 2 and not the insurer or the viatical settlement provider, and 3 owes a fiduciary duty to the viator to act according to the 4 viator’s instructions and in the best interest of the viator. 5 “Viatical settlement broker” does not include an attorney, 6 certified public accountant, or a financial planner accredited 7 by a nationally recognized accreditation agency who is retained 8 to represent the viator and whose compensation is not paid 9 directly or indirectly by the viatical settlement provider or 10 purchaser. 11 Sec. 12. Section 508E.3, subsections 2 and 3, Code 2021, are 12 amended to read as follows: 13 2. An application for a viatical settlement provider 14 or viatical settlement broker license shall be made to the 15 commissioner by the applicant on a form prescribed by the 16 commissioner, and the application shall be accompanied by a 17 fee of not more than one hundred dollars as provided by rules 18 adopted by the commissioner. 19 3. A viatical settlement provider or viatical settlement 20 broker license term shall be three years and the license 21 may be renewed upon payment of a renewal fee of not more 22 than one hundred dollars as provided by rules adopted by the 23 commissioner. A failure to pay the fee by the renewal date 24 shall result in expiration of the license. 25 Sec. 13. Section 509.1, subsection 9, Code 2021, is amended 26 to read as follows: 27 9. A policy of group health insurance coverage issued to an 28 associated health plan a multiple employer welfare arrangement 29 pursuant to section 513D.1 chapter 513D that is subject to 30 regulation by the commissioner. 31 Sec. 14. Section 509.19, subsection 2, paragraph d, Code 32 2021, is amended to read as follows: 33 d. A multiple employer welfare arrangement, as defined 34 in section 3 of the federal Employee Retirement Income 35 -8- LSB 1333XD (7) 89 ko/rn 8/ 50
S.F. _____ H.F. _____ Security Act of 1974, 29 U.S.C. §1002 (40) , paragraph 40, 1 or a multiple employer welfare arrangement formed as an 2 association health plan pursuant to 29 C.F.R. pt. 2510 , 3 that meets the requirements of section 507A.4, subsection 9 , 4 paragraph “a” chapter 513D . 5 Sec. 15. Section 509A.15, subsection 1, paragraph a, 6 unnumbered paragraph 1, Code 2021, is amended to read as 7 follows: 8 Within ninety calendar days following the end of a fiscal 9 year, the governing body of a self-insurance plan of a 10 political subdivision or a school corporation shall file with 11 the commissioner of insurance a certificate of compliance, 12 actuarial opinion, and an annual financial report. The 13 filing shall be accompanied by a fee of one hundred dollars 14 established by the commissioner by rule . A penalty of fifteen 15 dollars per day late fee established by the commissioner 16 by rule shall be assessed for failure to comply with the 17 ninety-day ninety-calendar-day filing requirement, except that 18 the commissioner may waive the penalty late fee upon a showing 19 that special circumstances exist which justify the waiver. The 20 certificate shall be signed and dated by the appropriate public 21 official representing the governing body, and shall certify the 22 following: 23 Sec. 16. Section 510.21, Code 2021, is amended to read as 24 follows: 25 510.21 Certificate of registration required Certificates —— 26 registration and renewal . 27 A person shall not act as or represent oneself to be a 28 third-party administrator in this state, other than an adjuster 29 licensed in this state for the kinds of business for which 30 the person is acting as a third-party administrator, unless 31 the person holds a current certificate of registration as 32 a third-party administrator issued by the commissioner of 33 insurance. A certificate of registration as a third-party 34 administrator is renewable shall be renewed every three 35 -9- LSB 1333XD (7) 89 ko/rn 9/ 50
S.F. _____ H.F. _____ years. Failure to hold a current certificate subjects the 1 of registration shall subject a third-party administrator to 2 the sanctions set out in section 507B.7 . The An application 3 for a certificate of registration shall be accompanied by a 4 filing fee as established by the commissioner by rule. A 5 certificate of registration shall be issued by the commissioner 6 to a third-party administrator unless the commissioner , 7 after due notice and hearing, determines that the third-party 8 administrator is not competent, trustworthy, financially 9 responsible, or of good personal and business reputation, or 10 has had a previous an application for an insurance license 11 denied for cause within the preceding five years. 12 An application for registration shall be accompanied by a 13 filing fee of one hundred dollars. After notice and hearing, 14 the commissioner may impose any or all of the sanctions set out 15 in section 507B.7 , upon finding that either the third-party 16 administrator violated any of the requirements of sections 17 510.12 through 510.20 and this section , or the third-party 18 administrator is not competent, trustworthy, financially 19 responsible, or of good personal and business reputation. 20 If the commissioner denies an application for registration 21 or renewal, a written notice that specifies the reasons for 22 the denial or nonrenewal shall be provided to the applicant. 23 Pursuant to chapter 17A, upon the applicant’s request, the 24 commissioner shall grant the applicant a hearing on the denial 25 or nonrenewal. 26 Sec. 17. Section 510.23, Code 2021, is amended by striking 27 the section and inserting in lieu thereof the following: 28 510.23 Violations and penalties. 29 1. If, after hearing, the commissioner determines that 30 a third-party administrator has violated this chapter, or 31 chapter 507B, the commissioner may order any one or more of the 32 sanctions or penalties set out in section 507B.7. 33 2. If, after hearing, the commissioner determines that a 34 person has aided and abetted a third-party administrator in 35 -10- LSB 1333XD (7) 89 ko/rn 10/ 50
S.F. _____ H.F. _____ commission of a violation of this chapter, or chapter 507B, 1 the commissioner may order any one or more of the sanctions or 2 penalties set out in section 507B.7. 3 3. If, after hearing, the commissioner determines that 4 a third-party administrator is not competent, trustworthy, 5 financially responsible, or of good personal and business 6 reputation, the commissioner may order any one or more of the 7 sanctions and penalties set out in section 507B.7. 8 Sec. 18. Section 511.24, Code 2021, is amended to read as 9 follows: 10 511.24 Fees from domestic Domestic and foreign companies —— 11 fees . 12 When not otherwise provided, a foreign or domestic life 13 insurance company doing business in this state shall pay to the 14 commissioner of insurance the following fees a fee, established 15 by the commissioner by rule, for all of the following : 16 1. For filing an application to do business, or an 17 application to renew a certificate of authority , fifty dollars . 18 2. For issuing a certificate of authority to do business in 19 this state, or for renewing a certificate , fifty dollars . 20 3. For filing amended articles of incorporation , fifty 21 dollars . 22 4. For issuing an amended certificate of authority , 23 twenty-five dollars . 24 5. For affixing the official seal to any paper filed with 25 the division , ten dollars . 26 Sec. 19. Section 512B.24, Code 2021, is amended to read as 27 follows: 28 512B.24 Reports Annual statement . 29 Reports shall be filed in accordance with this section . 30 1. A society transacting business in this state shall , on or 31 before March 1 annually , unless for cause shown the time has 32 been extended by the commissioner, shall annually file with the 33 commissioner a true statement of its the society’s financial 34 condition, transactions, and affairs for the preceding calendar 35 -11- LSB 1333XD (7) 89 ko/rn 11/ 50
S.F. _____ H.F. _____ year and shall pay a fee of fifty dollars established by the 1 commissioner by rule . The statement may be in general form and 2 content as approved by the national association of insurance 3 commissioners for fraternal benefit societies and shall be 4 supplemented by additional information as adopted by rule of 5 the commissioner. 6 2. As part of the a society’s annual statement, a the 7 society shall, on or before March 1, file with the commissioner 8 of insurance a valuation of its the society’s certificates 9 in force on the last preceding December 31. However, the 10 commissioner may, for cause shown, extend the time for filing 11 the valuation for not more than two consecutive calendar 12 months. The valuation shall be done completed in accordance 13 compliance with the standards specified in section 512B.23 . 14 The valuation and underlying data shall be certified by a 15 qualified actuary or, at the expense of the society, verified 16 by the actuary of the department of insurance of the state of 17 domicile of the society. 18 3. A society failing to file the society’s annual statement 19 in the form and within the time provided by compliance with 20 this section shall forfeit one hundred dollars for each day 21 during which the default continues, and, upon notice by the 22 commissioner to that effect , the society’s authority to do 23 business in this state shall cease while during the duration of 24 the default continues . 25 Sec. 20. Section 512B.25, Code 2021, is amended to read as 26 follows: 27 512B.25 Annual license —— renewal. 28 The authority of a society to transact business in this 29 state may be renewed annually. A society’s license terminates 30 to transact business in this state shall terminate on the 31 first day of June following the issuance or the renewal of 32 the society’s license . A society shall submit annually on 33 or before March 1 a completed application for renewal of its 34 license. For each license or renewal the society shall pay 35 -12- LSB 1333XD (7) 89 ko/rn 12/ 50
S.F. _____ H.F. _____ the commissioner a fee of fifty dollars established by the 1 commissioner by rule . A society that fails to timely file an 2 application for renewal shall pay an administrative penalty 3 of five hundred dollars to the treasurer of state for deposit 4 as provided in section 505.7 a late fee as established by the 5 commissioner by rule . A duly certified copy or duplicate 6 of the a society’s license is prima facie evidence that the 7 licensee is a fraternal benefit society within the meaning of 8 this chapter . 9 Sec. 21. Section 513D.1, Code 2021, is amended by striking 10 the section and inserting in lieu thereof the following: 11 513D.1 Multiple employer welfare arrangements and association 12 health plans. 13 1. As used in this chapter, unless the context otherwise 14 requires: 15 a. “Association health plan” or “AHP” means a multiple 16 employer welfare arrangement formed as an association health 17 plan pursuant to 29 C.F.R. pt. 2510. 18 b. “Commissioner” means the commissioner of insurance. 19 c. “Multiple employer welfare arrangement” or “MEWA” means a 20 multiple employer welfare arrangement as defined in section 3 21 of the federal Employee Retirement Income Security Act of 1974, 22 29 U.S.C. §1002, paragraph 40. 23 2. An AHP or MEWA that offers a plan to, or maintains a 24 group health plan for, any resident of this state shall be 25 subject to the jurisdiction of the commissioner and shall 26 comply with all of the following requirements: 27 a. The AHP or MEWA must be administered by an insurer 28 authorized to do the business of insurance in this state or 29 an authorized third-party administrator that holds a current 30 certificate of registration pursuant to section 510.21. 31 b. The AHP or MEWA must be established by a trade, 32 industry, or professional association of employers that has a 33 constitution or bylaws, is organized and maintained in good 34 faith, and has membership stability as defined by rules adopted 35 -13- LSB 1333XD (7) 89 ko/rn 13/ 50
S.F. _____ H.F. _____ by the commissioner. 1 c. The AHP or MEWA must register with the commissioner and 2 obtain and maintain a certificate of registration issued by the 3 commissioner. 4 d. The AHP or MEWA shall comply with all rules and solvency 5 standards established by rules adopted by the commissioner. 6 3. An AHP or MEWA that does not meet the solvency standards 7 pursuant to subsection 2, paragraph “d” , shall be subject to 8 chapter 507C. 9 4. An AHP or MEWA that meets all of the requirements of 10 subsection 2 shall not be considered any of the following: 11 a. An insurance company or association of whatever kind or 12 character under section 432.1. 13 b. A member of the Iowa individual health benefit 14 reinsurance association pursuant to section 513C.10, subsection 15 1. 16 c. A member insurer of the Iowa life and health insurance 17 guaranty association pursuant to section 508C.5. 18 5. An AHP or MEWA that is registered with the commissioner 19 pursuant to subsection 2, paragraph “c” , shall annually file 20 with the commissioner on or before March 1 a copy of the report 21 required to be filed by the AHP or MEWA with the United States 22 department of labor pursuant to 29 C.F.R. §2520.101-2. 23 6. An AHP or MEWA that is registered with the commissioner 24 pursuant to subsection 2, paragraph “c” , shall annually file 25 with the commissioner a report on or before March 1 for the 26 preceding calendar year. The annual report shall contain the 27 information and be in a form and manner as prescribed by the 28 commissioner. 29 7. A foreign or domestic AHP or MEWA doing business in the 30 state shall pay fees as prescribed by the commissioner unless 31 otherwise provided by law. 32 8. A MEWA that is recognized as tax-exempt under Internal 33 Revenue Code section 501(c)(9) and that is registered with the 34 commissioner prior to January 1, 2018, shall not be considered 35 -14- LSB 1333XD (7) 89 ko/rn 14/ 50
S.F. _____ H.F. _____ an AHP unless the MEWA affirmatively elects to be treated as 1 an AHP. 2 Sec. 22. Section 513D.2, subsection 1, Code 2021, is amended 3 to read as follows: 4 1. The commissioner of insurance shall adopt rules , as 5 necessary , pursuant to chapter 17A to administer this chapter . 6 Sec. 23. Section 514G.103, subsection 10, Code 2021, is 7 amended to read as follows: 8 10. “Independent review entity organization means a review 9 entity organization certified by the commissioner pursuant to 10 section 514G.110, subsection 4 . 11 Sec. 24. Section 514G.110, subsections 4, 5, 6, 7, 8, and 9, 12 Code 2021, are amended to read as follows: 13 4. Qualifications of independent review entities 14 organizations . The commissioner shall maintain a list of 15 qualified independent review entities organizations that are 16 certified by the commissioner. Independent review entities 17 organizations shall be recertified by the commissioner every 18 two years in order to remain on the list. In order to be 19 certified, an independent review entity organization shall meet 20 all of the following criteria: 21 a. Have on staff, or contract with, a qualified, licensed 22 health care professional in an appropriate field for 23 determining an insured’s functional or cognitive impairment who 24 can conduct an independent review. 25 (1) In order to be qualified, a licensed health care 26 professional who is a physician shall hold a current 27 certification by a recognized American medical specialty 28 board in a specialty appropriate for determining an insured’s 29 functional or cognitive impairment. 30 (2) In order to be qualified, a licensed health care 31 professional who is not a physician shall hold a current 32 certification in the specialty in which that person is 33 licensed, by a recognized American specialty board in a 34 specialty appropriate for determining an insured’s functional 35 -15- LSB 1333XD (7) 89 ko/rn 15/ 50
S.F. _____ H.F. _____ or cognitive impairment. 1 b. Ensure that any licensed health care professional who 2 conducts an independent review has no history of disciplinary 3 actions or sanctions, including but not limited to the loss 4 of staff privileges or any participation restrictions taken 5 or pending by any hospital or state or federal government 6 regulatory agency. 7 c. Ensure that the independent review entity organization 8 or any of its employees, agents, or licensed health care 9 professionals utilized does not receive compensation of any 10 type that is dependent on the outcome of a review. 11 d. Ensure that the independent review entity organization 12 or any of its employees, agents, or licensed health care 13 professionals utilized are not in any manner related to, 14 employed by, or affiliated with the insured or with a person 15 who previously provided medical care to the insured. 16 e. Ensure that an independent review entity organization 17 or any of its employees, agents, or licensed health care 18 professionals utilized is not a subsidiary of, or owned or 19 controlled by, an insurer or by a trade association of insurers 20 of which the insurer is a member. 21 f. Have a quality assurance program on file with the 22 commissioner that ensures the timeliness and quality of reviews 23 performed, the qualifications and independence of the licensed 24 health care professionals who perform the reviews, and the 25 confidentiality of the review process. 26 g. Have on staff or contract with a licensed health care 27 practitioner, as defined in section 514G.103, subsection 3 , who 28 is qualified to certify that an individual is chronically ill 29 for purposes of a qualified long-term care insurance contract. 30 5. Independent review process. The independent review 31 process shall be conducted as follows: 32 a. Within three business days of receiving a notice from the 33 commissioner of the certification of a request for independent 34 review or receipt of a denial of an insurer’s appeal from such 35 -16- LSB 1333XD (7) 89 ko/rn 16/ 50
S.F. _____ H.F. _____ a certification, the insurer shall do all of the following: 1 (1) Select an independent review entity organization from 2 the list certified by the commissioner and notify the insured 3 in writing of the name, address, and telephone number of the 4 selected independent review entity selected organization . The 5 selected independent review entity selected organization shall 6 utilize a licensed health care professional with qualifications 7 appropriate to the benefit trigger determination that is under 8 review. 9 (2) Notify the independent review entity organization 10 that it has been selected to conduct an independent review 11 of a benefit trigger determination and provide sufficient 12 descriptive information to enable the independent review entity 13 organization to provide licensed health care professionals who 14 will be qualified to conduct the review. 15 (3) Provide the commissioner with a copy of the notices sent 16 to the insured and to the selected independent review entity 17 selected organization . 18 b. Within three business days of receiving a notice from 19 an insurer that it has been selected to conduct an independent 20 review, the independent review entity organization shall do one 21 of the following: 22 (1) Accept its selection as the independent review entity 23 organization , designate a qualified licensed health care 24 professional to perform the independent review, and provide 25 notice of that designation to the insured and the insurer, 26 including a brief description of the health care professional’s 27 qualifications and the reasons that person is qualified to 28 determine whether the insured’s benefit trigger has been met. 29 A copy of this notice shall be sent to the commissioner via 30 facsimile. The independent review entity organization is not 31 required to disclose the name of the health care professional 32 selected. 33 (2) Decline its selection as the independent review entity 34 organization or, if the independent review entity organization 35 -17- LSB 1333XD (7) 89 ko/rn 17/ 50
S.F. _____ H.F. _____ does not have a licensed health care professional who is 1 qualified to conduct the independent review available, request 2 additional time from the commissioner to have a qualified 3 licensed health care professional certified, and provide 4 notice to the insured, the insurer, and the commissioner. 5 The commissioner shall notify the independent review entity 6 organization , the insured, and the insurer of how to proceed 7 within three business days of receipt of such notice from the 8 independent review entity organization . 9 c. An insured may object to the independent review entity 10 organization selected by the insurer or to the licensed 11 health care professional designated by the independent review 12 entity organization to conduct the review by filing a notice 13 of objection along with reasons for the objection, with the 14 commissioner within ten days of receipt of a notice sent by the 15 independent review entity organization pursuant to paragraph 16 “b” . The commissioner shall consider the insured’s objection 17 and shall notify the insured, the insurer, and the independent 18 review entity organization of the commissioner’s decision to 19 sustain or deny the objection within two business days of 20 receipt of the objection. 21 d. Within five business days of receiving a notice from 22 the independent review entity organization accepting its 23 selection or within five business days of receiving a denial 24 of an objection to the independent review entity organization 25 selected, whichever is later, the insured may submit any 26 information or documentation in support of the insured’s claim 27 to both the independent review entity organization and the 28 insurer. 29 e. Within fifteen days of receiving a notice from the 30 independent review entity organization accepting its selection 31 or within three business days of receipt of a denial of 32 an objection to the independent review entity organization 33 selected, whichever is later, an insurer shall do all of the 34 following: 35 -18- LSB 1333XD (7) 89 ko/rn 18/ 50
S.F. _____ H.F. _____ (1) Provide the independent review entity organization 1 with any information submitted to the insurer by the insured 2 in support of the insured’s internal appeal of the insurer’s 3 benefit trigger determination. 4 (2) Provide the independent review entity organization with 5 any other relevant documents used by the insurer in making its 6 benefit trigger determination. 7 (3) Provide the insured and the commissioner with 8 confirmation that the information required under subparagraphs 9 (1) and (2) has been provided to the independent review entity 10 organization , including the date the information was provided. 11 f. The independent review entity organization shall not 12 commence its review until fifteen days after the selection of 13 the independent review entity organization is final including 14 the resolution of any objection made pursuant to paragraph 15 “c” . During this time period, the insurer may consider any 16 information provided by the insured pursuant to paragraph 17 “d” and overturn or affirm the insurer’s benefit trigger 18 determination based on such information. If the insurer 19 overturns its benefit trigger determination, the independent 20 review process shall immediately cease. 21 g. In conducting a review, the independent review 22 entity organization shall consider only the information 23 and documentation provided to the independent review entity 24 organization pursuant to paragraphs “d” and “e” . 25 h. The independent review entity organization shall submit 26 its decision as soon as possible, but not later than thirty 27 days from the date the independent review entity organization 28 receives the information required under paragraphs “d” and “e” , 29 whichever is received later. The decision shall include a 30 description of the basis for the decision and the date of the 31 benefit trigger determination to which the decision relates. 32 The independent review entity organization , for good cause, 33 may request an extension of time from the commissioner to file 34 its decision. A copy of the decision shall be mailed to the 35 -19- LSB 1333XD (7) 89 ko/rn 19/ 50
S.F. _____ H.F. _____ insured, the insurer, and the commissioner. 1 i. All medical records submitted for use by the independent 2 review entity organization shall be maintained as confidential 3 records as required by applicable state and federal laws. The 4 commissioner shall keep all information obtained during the 5 independent review process confidential pursuant to section 6 505.8, subsection 8 , except that the commissioner may share 7 some information obtained as provided under section 505.8, 8 subsection 8 , and as required by this chapter and rules adopted 9 pursuant to this chapter . 10 j. If an insured dies before completion of the independent 11 review, the review shall continue to completion if there 12 is potential liability of an insurer to the estate of the 13 insured or to a provider for rendering qualified long-term care 14 services to the insured. 15 6. Costs. All reasonable fees and costs of the independent 16 review entity incurred organization in conducting an 17 independent review under this section shall be paid by the 18 insurer. 19 7. Immunity. An independent review entity organization that 20 conducts a review under this section is not liable for damages 21 arising from determinations made during the review. Immunity 22 does not apply to any act or omission made by an independent 23 review entity organization in bad faith or that involves gross 24 negligence. 25 8. Effect of independent review decision. 26 a. The review decision by the independent review entity 27 organization conducting the review is binding on the insurer. 28 b. The independent review process set forth in this section 29 shall not be considered a contested case under chapter 17A . 30 c. An insured may appeal the review decision by the 31 independent review entity organization conducting the review 32 by filing a petition for judicial review in the district court 33 in the county in which the insured resides. The petition for 34 judicial review shall be filed within fifteen business days 35 -20- LSB 1333XD (7) 89 ko/rn 20/ 50
S.F. _____ H.F. _____ after the issuance of the review decision by the independent 1 review organization . The petition shall name the insured 2 as the petitioner and the insurer as the respondent. The 3 petitioner shall not name the independent review entity 4 organization as a party. The commissioner shall not be named 5 as a respondent unless the insured alleges action or inaction 6 by the commissioner under the standards articulated under 7 section 17A.19, subsection 10 . Allegations made against the 8 commissioner under section 17A.19, subsection 10 , must be 9 stated with particularity. The commissioner may, upon motion, 10 intervene in a judicial review proceeding brought pursuant to 11 this paragraph. The findings of fact by the independent review 12 entity organization conducting the review are conclusive and 13 binding on appeal. 14 d. An insurer shall not be subject to any penalties, 15 sanctions, or damages for complying in good faith with a review 16 decision rendered by an independent review entity organization 17 pursuant to this section . 18 e. Nothing contained in this section or in section 514G.109 19 shall be construed to limit the right of an insurer to assert 20 any rights an insurer may have under a long-term care insurance 21 policy related to: 22 (1) An insured’s misrepresentation. 23 (2) Changes in the insured’s benefit eligibility. 24 (3) Terms, conditions, and exclusions contained in the 25 policy, other than failure to meet the benefit trigger. 26 f. The requirements of this section and section 514G.109 are 27 not applicable to a group long-term care insurance policy that 28 is governed by the federal Employee Retirement Income Security 29 Act of 1974, as codified at 29 U.S.C. §100 §1001 et seq. 30 g. The provisions of this section and section 514G.109 31 are in lieu of and supersede any other third-party review 32 requirement contained in chapter 514J or in any other provision 33 of law. 34 h. The insured may bring an action in the district court 35 -21- LSB 1333XD (7) 89 ko/rn 21/ 50
S.F. _____ H.F. _____ in the county in which the insured resides to enforce the 1 review decision of the independent review entity organization 2 conducting the review or the decision of the court on appeal. 3 9. Receipt of notice. Notice required by this section shall 4 be deemed received within five days after the date of mailing. 5 Sec. 25. Section 515.147, Code 2021, is amended to read as 6 follows: 7 515.147 Fees. 8 Fees , established by the commissioner of insurance by rule, 9 shall be paid to the commissioner of insurance for deposit as 10 provided in section 505.7 as follows for all of the following : 11 1. For filing an application to do business, including all 12 documents submitted in connection with the application, by a 13 foreign or domestic company, or for filing an application for 14 renewed authority , fifty dollars . 15 2. For issuing to a foreign or domestic company a 16 certificate of authority to do business or a renewed 17 certificate of authority , fifty dollars . 18 3. For filing amended articles of incorporation , fifty 19 dollars . 20 4. For issuing an amended certificate of authority , 21 twenty-five dollars . 22 5. For affixing the official seal to any paper filed with 23 the division , ten dollars . 24 Sec. 26. Section 515A.2, subsection 1, Code 2021, is amended 25 by adding the following new paragraph: 26 NEW PARAGRAPH . 0a. “Commissioner” means the commissioner 27 of insurance. 28 Sec. 27. Section 515A.6, subsection 1, paragraph c, Code 29 2021, is amended to read as follows: 30 c. Licenses issued pursuant to this section shall remain 31 in effect for three years unless sooner suspended or revoked 32 by the commissioner. The fee for the license fee shall be one 33 hundred dollars established by the commissioner by rule . 34 Sec. 28. Section 515A.6, subsection 7, Code 2021, is amended 35 -22- LSB 1333XD (7) 89 ko/rn 22/ 50
S.F. _____ H.F. _____ to read as follows: 1 7. Notwithstanding any other provision of the Code law to 2 the contrary , the commissioner of insurance shall provide for 3 a hearing in a proceeding involving a workers’ compensation 4 insurance rate filing by a licensed rating organization 5 in accordance with the provisions of this subsection and 6 rules promulgated by the commissioner of insurance pursuant 7 to chapter 17A . Except as otherwise provided herein, the 8 provisions of this subsection shall not be subject to the 9 requirements of chapter 17A . The procedures for such hearing 10 shall be as follows: 11 a. The commissioner shall provide notice of the filing of 12 the proposed rates at least thirty days before the effective 13 date of the proposed rates by publishing a notice on the 14 internet site of the insurance division of the department of 15 commerce. 16 b. A public hearing shall be held on the proposed rates by 17 the commissioner of insurance if within fifteen days of the 18 date of publication a workers’ compensation policyholder or an 19 established organization with one or more workers’ compensation 20 policyholders among its members files a written demand with the 21 commissioner of insurance for a hearing on the proposed rates. 22 c. The commissioner of insurance shall hold the hearing 23 within twenty days after receipt of the written demand for a 24 hearing and shall give not less than ten days written notice of 25 the time and place of the hearing to the person or association 26 filing the demand, to the rating organization, and to any other 27 person requesting such notice. 28 d. At any such hearing, the rating organization shall 29 bear the burden of proof to support the proposed rates by a 30 preponderance of the evidence. The person or association 31 requesting the hearing, and any other person admitted as a 32 party to the proceeding, shall be given the opportunity to 33 respond and introduce evidence and arguments on all the issues 34 involved. 35 -23- LSB 1333XD (7) 89 ko/rn 23/ 50
S.F. _____ H.F. _____ e. Within fifteen days after the start of the hearing, the 1 commissioner of insurance will shall approve or disapprove 2 the proposed rates and specify the reasons therefor. The 3 commissioner of insurance may suspend or postpone the effective 4 date of the proposed rates pending the hearing and written 5 decision thereon. 6 f. Judicial review of the decision of the commissioner of 7 insurance on such rates may be sought in accordance with the 8 provisions of chapter 17A . 9 g. Absent a request for a hearing as provided in paragraph 10 “b” , the commissioner shall issue an order approving or 11 disapproving the proposed rates. 12 h. The waiting period for a workers’ compensation insurance 13 rate filing shall commence no earlier than the date that notice 14 of the insurance rate filing is published. 15 Sec. 29. Section 515A.10, Code 2021, is amended to read as 16 follows: 17 515A.10 Advisory organizations. 18 1. Every group, association or other organization of 19 insurers, whether located within or outside of this state, 20 which assists insurers which make their own filings or rating 21 organizations in rate making, by the collection and furnishing 22 of loss or expense statistics, or by the submission of 23 recommendations, but which does not make filings under this 24 chapter , shall be known as an advisory organization. 25 2. An advisory organization shall not provide a service 26 relating to this chapter, and an insurer shall not utilize 27 the services of an advisory organization for such purposes 28 unless the advisory organization has obtained a license under 29 subsection 3. 30 2. 3. Every An advisory organization applying for a license 31 shall file include with its application to the commissioner all 32 of the following: 33 a. A copy of its constitution, its articles of agreement 34 or association or its certificate of incorporation and of its 35 -24- LSB 1333XD (7) 89 ko/rn 24/ 50
S.F. _____ H.F. _____ bylaws, rules and regulations governing its activities. 1 b. A list of its members. 2 c. The name and address of a resident of this state upon 3 whom notices or orders of the commissioner or process issued at 4 the commissioner’s direction may be served. 5 d. An agreement that the commissioner may examine such 6 advisory organization in accordance with the provisions of 7 section 515A.12 . 8 e. A fee established by the commissioner by rule. 9 3. 4. If, after a hearing, the commissioner finds that 10 the furnishing of such information or assistance involves an 11 advisory organization has engaged in any act or practice which 12 is unfair , or unreasonable , or otherwise inconsistent with the 13 provisions in violation of this chapter , the commissioner may 14 issue a written an order specifying in what respects such act 15 or practice is unfair or unreasonable or otherwise inconsistent 16 with the provisions of this chapter , and requiring the 17 discontinuance of such act or practice advisory organization to 18 cease and desist such act or practice . The commissioner may, 19 at any time after hearing, revoke or suspend the license of an 20 advisory organization which does not comply with this chapter. 21 4. 5. No insurer which makes its own filings nor any rating 22 organization shall support its filings by statistics or adopt 23 rate making recommendations, furnished to it by an advisory 24 organization which has not complied with this section or with 25 an order of the commissioner involving such statistics or 26 recommendations issued under subsection 3 4 of this section . 27 If the commissioner finds such insurer or rating organization 28 to be in violation of this subsection the commissioner may 29 issue an order requiring the discontinuance of such violation. 30 6. A license issued under this section shall remain in 31 effect for three years unless sooner suspended or revoked by 32 the commissioner. 33 Sec. 30. Section 515D.4, subsection 2, paragraph a, Code 34 2021, is amended to read as follows: 35 -25- LSB 1333XD (7) 89 ko/rn 25/ 50
S.F. _____ H.F. _____ a. The named insured or any operator who either resides 1 in the same household or customarily operates an automobile 2 insured under the policy has that person’s driver’s license 3 suspended or revoked during the policy term or, if the policy 4 is a renewal, during its term or the one hundred eighty days 5 immediately preceding its effective date. any of the following: 6 (1) The term of the policy. 7 (2) The term of a renewal policy. 8 (3) Within one hundred eighty calendar days immediately 9 preceding the effective date of a renewal of the policy. 10 Sec. 31. Section 515D.4, subsection 3, Code 2021, is amended 11 to read as follows: 12 3. This section shall not apply to any policy or coverage 13 which has been in effect less than sixty calendar days at the 14 time notice of cancellation is mailed or delivered by the 15 insurer unless it is a renewal policy. This section shall not 16 apply to the nonrenewal of a policy. 17 Sec. 32. Section 515D.5, Code 2021, is amended to read as 18 follows: 19 515D.5 Delivery of notice. 20 1. a. Notwithstanding the provisions of section 515.129A , 21 a notice of cancellation of a policy shall not be effective 22 unless mailed or delivered by the insurer to the named insured 23 at least thirty calendar days prior to the effective date of 24 cancellation, or, where the cancellation is for nonpayment of 25 premium notwithstanding the provisions of section 515.129A , 26 at least ten calendar days prior to the date of cancellation. 27 A post office department certificate of mailing to the named 28 insured at the address shown in the policy shall be proof 29 of receipt of such mailing. Unless the reason accompanies 30 the notice of cancellation, the notice shall state that upon 31 written request of the named insured, mailed or delivered to 32 the insurer not less than fifteen calendar days prior to the 33 date of cancellation, the insurer will state the reason for 34 cancellation together with notification of the right to a 35 -26- LSB 1333XD (7) 89 ko/rn 26/ 50
S.F. _____ H.F. _____ hearing before the commissioner within fifteen calendar days as 1 provided in this chapter . 2 b. When the reason does not accompany the notice of 3 cancellation, the insurer shall, upon receipt of a timely 4 request by the named insured, state in writing the reason 5 for cancellation. A statement of reason shall be mailed or 6 delivered to the named insured within five calendar days after 7 receipt of a request. 8 2. A notice of exclusion of a person under a policy pursuant 9 to section 515D.4 , is not effective unless written notice 10 is mailed or delivered to the named insured at least twenty 11 calendar days prior to the effective date of the exclusion. 12 The written notice shall state the reason for the exclusion, 13 together with notification of the right to a hearing before 14 the commissioner pursuant to section 515D.10 within fifteen 15 calendar days of receipt or delivery of a statement of reason 16 as provided in this section . 17 Sec. 33. Section 515D.6, Code 2021, is amended to read as 18 follows: 19 515D.6 Prohibited reasons for nonrenewal . 20 1. No insurer shall refuse to renew a policy solely because 21 of age, residence, sex, race, color, creed, or occupation of 22 an insured . 23 2. No insurer shall require a physical examination of a 24 policyholder as a condition for renewal solely on the basis of 25 age or other arbitrary reason. In the event that an insurer 26 requires a physical examination of a policyholder, the burden 27 of proof in establishing reasonable and sufficient grounds for 28 such requirement shall rest with the insurer and the expenses 29 incident to such examination shall be borne by the insurer. 30 Sec. 34. Section 515D.7, Code 2021, is amended to read as 31 follows: 32 515D.7 Notice of intent. 33 1. Notwithstanding the provisions of sections 515.125 , 34 515.128 , 515.129B , and 515.129C , an insurer shall not fail to 35 -27- LSB 1333XD (7) 89 ko/rn 27/ 50
S.F. _____ H.F. _____ renew a policy except by notice to the insured as provided 1 in this chapter . A notice of intention not to renew shall 2 not be effective unless mailed or delivered by the insurer 3 to the named insured at least thirty calendar days prior to 4 the expiration date of the policy. A post office department 5 certificate of mailing to the named insured at the address 6 shown in the policy shall be proof of receipt of such mailing. 7 Unless the reason accompanies the notice of intent not to 8 renew, the notice shall state that, upon written request of 9 the named insured, mailed or delivered to the insurer not less 10 than thirty calendar days prior to the expiration date of the 11 policy, the insurer will state the reason for nonrenewal. 12 2. When the reason does not accompany the notice of intent 13 not to renew, the insurer shall, upon receipt of a timely 14 request by the named insured, state in writing the reason 15 for nonrenewal, together with notification of the right to a 16 hearing before the commissioner within fifteen calendar days 17 as provided herein. A statement of reason shall be mailed or 18 delivered to the named insured within ten days after receipt 19 of a request. 20 3. This section shall not apply: 21 a. If the insurer has manifested its willingness to renew. 22 b. If the insured fails to pay any premium due or any 23 advance premium required by the insurer for renewal. 24 c. If the insured is transferred from an insurer to 25 an affiliate for future coverage as a result of a merger, 26 acquisition, or company restructuring and if the transfer 27 results in the same or broader coverage. 28 Sec. 35. Section 515D.10, Code 2021, is amended to read as 29 follows: 30 515D.10 Hearing before commissioner. 31 Any named insured who has received a statement of reason 32 for cancellation, or of reason for an insurer’s intent not 33 to renew a policy, may, within fifteen calendar days of the 34 receipt or delivery of a statement of reason, request a hearing 35 -28- LSB 1333XD (7) 89 ko/rn 28/ 50
S.F. _____ H.F. _____ before the commissioner of insurance. The purpose of this 1 hearing shall be limited to establishing the existence of the 2 proof or evidence used stated by the insurer in as its reason 3 for cancellation or intent not to renew. The burden of proof 4 of the reason for cancellation or intent not to renew shall 5 be upon the insurer. Other than the sharing of information 6 required by this chapter and the rules adopted pursuant to 7 the provisions of this chapter , the commissioner shall keep 8 confidential the information obtained from the insured or in 9 the hearing process, pursuant to section 505.8, subsection 8 . 10 The commissioner of insurance shall adopt rules for carrying 11 out pursuant to chapter 17A to implement the provisions of this 12 section . 13 Sec. 36. Section 515F.2, Code 2021, is amended by adding the 14 following new unnumbered paragraph: 15 NEW UNNUMBERED PARAGRAPH . As used in this chapter, unless 16 the context otherwise requires: 17 Sec. 37. Section 515F.2, Code 2021, is amended by adding the 18 following new subsection: 19 NEW SUBSECTION . 2A. “Commissioner” means the commissioner 20 of insurance. 21 Sec. 38. Section 515F.8, subsection 3, paragraph a, Code 22 2021, is amended by adding the following new subparagraph: 23 NEW SUBPARAGRAPH . (7) A license fee as established by the 24 commissioner by rule. 25 Sec. 39. Section 515F.8, subsection 3, paragraph d, Code 26 2021, is amended to read as follows: 27 d. Duration. A license issued under this section shall 28 remain in effect for one year three years unless the license 29 is suspended or revoked. The commissioner may, at any time 30 after hearing, revoke or suspend the license of an advisory 31 organization which does not comply with the requirements and 32 standards of this chapter . 33 Sec. 40. Section 515F.32, Code 2021, is amended by adding 34 the following new unnumbered paragraph: 35 -29- LSB 1333XD (7) 89 ko/rn 29/ 50
S.F. _____ H.F. _____ NEW UNNUMBERED PARAGRAPH . As used in this subchapter, 1 unless the context otherwise requires: 2 Sec. 41. Section 515F.32, subsection 3, Code 2021, is 3 amended to read as follows: 4 3. “Insurer” includes all companies or associations licensed 5 to transact insurance business in this state under chapters 6 515 , 518 , and 518A , reciprocal insurers issued a certificate 7 of authority pursuant to chapter 520, and companies or 8 associations admitted or seeking to be admitted to do business 9 in this state under any of those chapters, notwithstanding any 10 provision of the Code to the contrary. 11 Sec. 42. Section 515F.36, subsection 2, paragraph a, 12 subparagraphs (1) and (2), Code 2021, are amended to read as 13 follows: 14 (1) American property casualty insurance association. 15 (2) Property casualty insurers association of America 16 National association of mutual insurance companies . 17 Sec. 43. NEW SECTION . 515F.39 Cancellation or nonrenewal 18 —— FAIR notice. 19 If basic property insurance coverage is canceled or not 20 renewed other than for nonpayment of a premium pursuant to 21 section 515.125, 515.126, 515.127, 515.128, 518.23, or 518A.29, 22 the insurer shall notify the named insured that the named 23 insured may be eligible for basic property insurance through 24 the FAIR plan. The notice shall accompany the notice of 25 cancellation or the intent not to renew. 26 Sec. 44. Section 515I.4, subsection 1, paragraph a, Code 27 2021, is amended to read as follows: 28 a. Capital and surplus or its equivalent under the laws of 29 the insurer’s domiciliary jurisdiction which equals the greater 30 of either greatest of the following: 31 (1) The minimum capital and surplus requirements under the 32 laws of this state. 33 (2) Fifteen million dollars. 34 (3) The risk-based capital level requirements pursuant to 35 -30- LSB 1333XD (7) 89 ko/rn 30/ 50
S.F. _____ H.F. _____ chapter 521E. 1 Sec. 45. Section 520.12, subsection 2, Code 2021, is amended 2 to read as follows: 3 2. A reciprocal or interinsurance insurer shall submit 4 annually, on or before March 1, a completed application for 5 renewal of the insurer’s certificate of authority. An insurer 6 that fails to timely file an application for renewal shall pay 7 an administrative fee of five hundred dollars to the treasurer 8 of state for deposit as provided in section 505.7 to the 9 commissioner of insurance as established by the commissioner of 10 insurance by rule . 11 Sec. 46. Section 521.18, Code 2021, is amended to read as 12 follows: 13 521.18 Articles of merger or consolidation —— filing fees 14 and approval. 15 A company filing a plan to merge or consolidate under the 16 provisions of this chapter shall file its articles of merger 17 or consolidation with the commission for its approval. The 18 fee for filing articles of merger or consolidation with 19 the commission is fifty dollars shall be established by the 20 commissioner by rule . 21 Sec. 47. Section 522.9, subsection 1, Code 2021, is amended 22 to read as follows: 23 1. If an insurer fails, without just cause, to file an 24 own risk and solvency assessment summary report by the filing 25 date stipulated to the commissioner pursuant to section 522.5, 26 subsection 1 , paragraph “c” , the commissioner shall, after 27 notice and hearing, impose a penalty of five hundred dollars 28 for each calendar day after the stipulated date that the 29 summary report is not filed. The penalties shall be collected 30 by the commissioner and deposited in the general fund of the 31 state pursuant to section 505.7 . The maximum penalty which may 32 be imposed under this section is fifty thousand dollars. 33 Sec. 48. Section 522A.5, Code 2021, is amended to read as 34 follows: 35 -31- LSB 1333XD (7) 89 ko/rn 31/ 50
S.F. _____ H.F. _____ 522A.5 Fees Counter employee —— license fee . 1 The fee for a counter employee license shall be fifty dollars 2 per counter employee established by the commissioner by rule . 3 In no case shall any combined fees exceed one thousand dollars 4 in any calendar year for any one rental company or limited 5 license or licensee or renewal license. The fees collected 6 under this section shall be deposited as provided in section 7 505.7 . 8 Sec. 49. Section 522B.5, subsection 1, paragraph c, Code 9 2021, is amended to read as follows: 10 c. The individual has paid the license fee of fifty dollars 11 established by the commissioner by rule . 12 Sec. 50. Section 522E.4, subsection 1, paragraph c, Code 13 2021, is amended to read as follows: 14 c. An application fee of the lesser of fifty dollars per 15 each endorsee at a location of the vendor or five hundred 16 dollars per location valid for a three-year period and, for 17 each three-year period thereafter, a renewal fee in the same 18 amount. A maximum fee of five thousand dollars shall apply 19 for licensure of a portable electronics vendor with multiple 20 locations established by the commissioner by rule . The fees 21 collected shall be deposited as provided in section 505.7 . 22 DIVISION III 23 CEMETERY AND FUNERAL MERCHANDISE AND FUNERAL SALES 24 Sec. 51. Section 523A.204, subsections 1 and 2, Code 2021, 25 are amended to read as follows: 26 1. A preneed seller shall file an annual report with the 27 commissioner not later than April 1 of each year an annual 28 report 15 on a form prescribed by the commissioner. 29 2. A preneed seller filing an annual report shall pay a 30 filing fee of ten dollars established by the commissioner by 31 rule per purchase agreement sold during the year covered by 32 the report. Duplicate filing fees are not required for the 33 same purchase agreement. If a purchase agreement has multiple 34 sellers, the filing fee shall be paid by the preneed seller 35 -32- LSB 1333XD (7) 89 ko/rn 32/ 50
S.F. _____ H.F. _____ actually providing the merchandise and services. 1 Sec. 52. Section 523A.204, Code 2021, is amended by adding 2 the following new subsection: 3 NEW SUBSECTION . 4. The commissioner may impose a late 4 fee, established by the commissioner by rule, for each day 5 after April 15 that a preneed seller fails to file the preneed 6 seller’s annual report. The maximum late fee that may be 7 imposed under this subsection is five hundred dollars. The fee 8 shall be collected by the commissioner and deposited pursuant 9 to section 505.7. 10 Sec. 53. Section 523A.501, subsections 7 and 8, Code 2021, 11 are amended to read as follows: 12 7. A preneed seller’s license expires shall expire annually 13 on April 15 30 . If the a preneed seller has filed a complete 14 an annual report pursuant to section 523A.204, subsection 1, 15 and paid the required fees as required in section 523A.204 , the 16 commissioner shall renew the preneed seller’s license until 17 April 15 30 of the following year. 18 8. The commissioner may by rule create or accept a 19 multijurisdiction preneed seller’s license. If the preneed 20 seller’s license is issued by another jurisdiction, the rules 21 shall require the filing of an application or notice form and 22 payment of the applicable filing fee of fifty dollars for an 23 application established by the commissioner by rule . The 24 application or notice form utilized and the effective dates and 25 terms of the license may vary from the provisions set forth in 26 this section . 27 Sec. 54. Section 523A.502, subsection 5, Code 2021, is 28 amended to read as follows: 29 5. A sales license shall expire annually on April 15 30 . If 30 the a sales agent has filed a substantially complete an annual 31 report as required in pursuant to section 523A.502A , subsection 32 1, and has fulfilled the continuing education requirements 33 pursuant to subsection 6, the commissioner shall renew the 34 sales agent’s sales license until April 15 30 of the following 35 -33- LSB 1333XD (7) 89 ko/rn 33/ 50
S.F. _____ H.F. _____ year. 1 Sec. 55. Section 523A.502A, subsection 1, Code 2021, is 2 amended to read as follows: 3 1. A No later than April 15, a sales agent shall file an 4 annual report with the commissioner not later than April 1 5 of each year an annual report on a form prescribed by the 6 commissioner describing each purchase agreement sold by the 7 sales agent during the year. An annual report must be filed 8 whether or not sales were made a sales agent sold any purchase 9 agreements during the year and even if the whether or not a 10 sales agent is no longer still an agent of a preneed seller or 11 is still licensed by the commissioner. 12 Sec. 56. Section 523A.502A, Code 2021, is amended by adding 13 the following new subsection: 14 NEW SUBSECTION . 3. The commissioner may impose a late fee, 15 established by the commissioner by rule, for each day after 16 April 15 that a sales agent fails to file the sales agent’s 17 annual report. The maximum late fee that may be imposed 18 pursuant to this section is five hundred dollars. The fee 19 shall be collected by the commissioner and deposited pursuant 20 to section 505.7. 21 Sec. 57. Section 523A.601, subsection 4, Code 2021, is 22 amended by striking the subsection and inserting in lieu 23 thereof the following: 24 4. All purchase agreements, including a purchase agreement 25 delivered or executed by electronic means, must have a sales 26 agent identified. A purchase agreement, including a purchase 27 agreement delivered or executed by electronic means, shall 28 be reviewed by the sales agent identified and named in the 29 purchase agreement pursuant to subsection 1, paragraph “a” , and 30 signed by the purchaser and seller. If the purchase agreement 31 is for mortuary science services as “mortuary science” is 32 defined in section 156.1, the purchase agreement must also be 33 signed by a person licensed to deliver funeral services. 34 Sec. 58. Section 523A.807, subsection 3, unnumbered 35 -34- LSB 1333XD (7) 89 ko/rn 34/ 50
S.F. _____ H.F. _____ paragraph 1, Code 2021, is amended to read as follows: 1 If the commissioner finds that a person has violated section 2 523A.201 , 523A.202 , 523A.203 , 523A.204, 523A.207 , 523A.401 , 3 523A.402 , 523A.403 , 523A.404 , 523A.405 , 523A.501 , or 523A.502 , 4 or 523A.502A, or any rule adopted pursuant thereto, the 5 commissioner may order any or all of the following: 6 Sec. 59. Section 523A.812, Code 2021, is amended to read as 7 follows: 8 523A.812 Insurance division regulatory fund. 9 The insurance division may authorize the creation of a 10 special revenue fund in the state treasury, to be known as the 11 insurance division regulatory fund. The commissioner shall 12 allocate annually from the filing fees paid pursuant to section 13 523A.204 , two dollars an amount established by the commissioner 14 by rule for each purchase agreement reported on a preneed 15 seller’s annual report filed pursuant to section 523A.204 for 16 deposit to the regulatory fund. The remainder of the fees 17 collected pursuant to section 523A.204 shall be deposited 18 as provided in section 505.7 . The commissioner shall also 19 allocate annually the examination fees paid pursuant to section 20 523A.814 and any examination expense reimbursement for deposit 21 to the regulatory fund. The moneys in the regulatory fund 22 shall be retained in the fund. The moneys are appropriated 23 and, subject to authorization by the commissioner, may be used 24 to pay examiners, examination expenses, investigative expenses, 25 the expenses of mediation ordered by the commissioner, consumer 26 education expenses, the expenses of a toll-free telephone 27 line to receive consumer complaints, and the expenses of 28 receiverships established under section 523A.811 . If the 29 commissioner determines that funding is not otherwise available 30 to reimburse the expenses of a person who receives title 31 to a cemetery subject to chapter 523I , pursuant to such 32 a receivership, the commissioner shall use moneys in the 33 regulatory fund as necessary to preserve, protect, restore, 34 and maintain the physical integrity of that cemetery and to 35 -35- LSB 1333XD (7) 89 ko/rn 35/ 50
S.F. _____ H.F. _____ satisfy claims or demands for cemetery merchandise, funeral 1 merchandise, and funeral services based on purchase agreements 2 which the commissioner determines are just and outstanding. 3 An annual allocation to the regulatory fund shall not be 4 imposed if the current balance of the fund exceeds five hundred 5 thousand dollars. 6 Sec. 60. Section 523A.814, Code 2021, is amended to read as 7 follows: 8 523A.814 Examination fee. 9 In addition to the filing fee paid pursuant to section 10 523A.204, subsection 2 , a seller filing an annual report 11 shall pay an examination fee in the amount of five dollars 12 established by the commissioner by rule for each purchase 13 agreement subject to a filing fee that is sold between July 1, 14 2005, and December 31, 2007, and in the amount of ten dollars 15 for each purchase agreement subject to a filing fee that is 16 sold after December 31, 2007 . 17 DIVISION IV 18 RESIDENTIAL AND MOTOR VEHICLE SERVICE CONTRACTS 19 Sec. 61. Section 523C.3, subsection 2, Code 2021, is amended 20 to read as follows: 21 2. The application shall be accompanied by all of the 22 following: 23 a. A license fee in the amount of five hundred dollars 24 established by the commissioner by rule . 25 b. If applicable, a fee in the amount of fifty dollars 26 established by the commissioner by rule for each motor vehicle 27 service contract form submitted in an application as provided 28 in subsection 1 , paragraph “f” . 29 Sec. 62. Section 523C.4, subsection 3, paragraphs a, b, and 30 c, Code 2021, are amended to read as follows: 31 a. A license renewal fee in the amount of five hundred 32 dollars established by the commissioner by rule . 33 b. If applicable, a fee in the amount of three percent 34 percentage established by the commissioner by rule of the 35 -36- LSB 1333XD (7) 89 ko/rn 36/ 50
S.F. _____ H.F. _____ aggregate amount of payments the licensee received for the sale 1 or issuance of residential service contracts in this state 2 during the preceding fiscal year , provided that such fee shall 3 be no less than one hundred dollars and no greater than fifty 4 thousand dollars . 5 c. If applicable, a fee in the amount of fifty dollars 6 established by the commissioner by rule for each motor 7 vehicle service contract form submitted in a with the renewal 8 application pursuant to subsection 2, and as provided in 9 section 523C.3, subsection 1 , paragraph “f” . 10 Sec. 63. Section 523C.24, subsection 2, Code 2021, is 11 amended to read as follows: 12 2. The commissioner shall deposit in the service company 13 oversight fund an amount equal to one-third of all licensing, 14 examination, renewal, and inspection fees collected under this 15 chapter , provided that the maximum amount of fees deposited 16 in the fund each fiscal year shall not exceed five hundred 17 thousand dollars an amount established by the commissioner by 18 rule . Any remaining fees collected under this chapter and 19 not deposited in the service company oversight fund shall be 20 deposited as provided in section 505.7 . 21 DIVISION V 22 RETIREMENT FACILITIES 23 Sec. 64. Section 523D.2A, unnumbered paragraph 1, Code 24 2021, is amended to read as follows: 25 On or before March 1 of each year, a provider shall 26 file a certification with the commissioner in a manner and 27 according to in compliance with requirements established by the 28 commissioner by rule . The certification shall be accompanied 29 by a one hundred dollar administrative fee which fee in an 30 amount established by the commissioner by rule and shall be 31 deposited as provided in section 505.7 . The certification 32 shall attest that according to the best knowledge and belief of 33 the attesting party, the facility administered by the provider 34 is in compliance with the provisions of this chapter , including 35 -37- LSB 1333XD (7) 89 ko/rn 37/ 50
S.F. _____ H.F. _____ rules adopted by the commissioner or and orders issued by the 1 commissioner as authorized under this chapter . The attesting 2 person may be any of the following: 3 DIVISION VI 4 IOWA CEMETERY ACT 5 Sec. 65. Section 523I.102, subsection 6, Code 2021, is 6 amended by adding the following new paragraph: 7 NEW PARAGRAPH . d. A cemetery under the jurisdiction and 8 control of a cemetery commission pursuant to section 331.325, 9 subsection 3, paragraph “c” . 10 Sec. 66. Section 523I.213, Code 2021, is amended to read as 11 follows: 12 523I.213 Insurance division’s enforcement fund. 13 A special revenue fund in the state treasury, to be known as 14 the insurance division’s enforcement fund, is created under the 15 authority of the commissioner. The commissioner shall allocate 16 annually from the examination fees paid pursuant to section 17 523I.808 , an amount not exceeding fifty thousand dollars, for 18 deposit to all examination fees collected pursuant to section 19 523I.808 in the insurance division’s enforcement fund. The 20 moneys in the enforcement fund shall be retained in the fund. 21 The moneys are appropriated and, subject to authorization by 22 the commissioner, shall be used to pay examiners, examination 23 expenses, investigative expenses, the expenses of consumer 24 education, compliance, and education programs for filers and 25 other regulated persons, and educational or compliance program 26 materials, the expenses of a toll-free telephone line for 27 consumer complaints, and the expenses of receiverships of 28 perpetual care cemeteries established under section 523I.212 . 29 Sec. 67. Section 523I.301, subsections 1 and 2, Code 2021, 30 are amended to read as follows: 31 1. A cemetery shall disclose, prior to the sale of interment 32 rights, whether opening and closing of the interment space is 33 services are included in the purchase of the interment rights. 34 If opening and closing services are not included in the sale of 35 -38- LSB 1333XD (7) 89 ko/rn 38/ 50
S.F. _____ H.F. _____ interment rights and the cemetery offers opening and closing 1 services, the cemetery must disclose that the price for this 2 service opening and closing services is subject to change 3 and must disclose the current prices for opening and closing 4 services provided by the cemetery. 5 2. The cemetery shall fully disclose all fees required for 6 interment, entombment, or inurnment , or disinterment of human 7 remains. 8 Sec. 68. Section 523I.309, subsection 6, Code 2021, is 9 amended to read as follows: 10 6. A cemetery may shall disinter and relocate remains 11 interred in the cemetery for the purpose of correcting an error 12 made by the cemetery after obtaining a disinterment permit 13 as required by section 144.34 , unless the interested parties 14 have a written agreement directing otherwise. The cemetery 15 shall bear the costs of the disinterment and relocation . The 16 cemetery shall provide written notice describing the error 17 to the commissioner and to the person who has the right to 18 control the interment, relocation, or disinterment of the 19 remains erroneously interred, by restricted certified mail at 20 the person’s last known address and sixty days prior to the 21 disinterment. The notice shall include the location where the 22 disinterment will occur and the location of the new interment 23 space. A cemetery is not civilly or criminally liable for an 24 erroneously made interment that is corrected in compliance 25 with this subsection unless the error was the result of gross 26 negligence or intentional misconduct. 27 Sec. 69. Section 523I.808, Code 2021, is amended to read as 28 follows: 29 523I.808 Examination Annual report —— examination fee. 30 An examination fee , established by the commissioner by rule, 31 for each certificate of internment rights issued during the 32 time period covered by the report shall be submitted with the a 33 perpetual care cemetery’s annual report in an amount equal to 34 five dollars for each certificate of interment rights issued 35 -39- LSB 1333XD (7) 89 ko/rn 39/ 50
S.F. _____ H.F. _____ during the time period covered by the report filed pursuant to 1 section 523I.813 . The cemetery may charge the examination fee 2 directly to the purchaser of the interment rights. 3 Sec. 70. Section 523I.813, subsection 3, Code 2021, is 4 amended by striking the subsection and inserting in lieu 5 thereof the following: 6 3. The commissioner may assess a late fee, established 7 by the commissioner by rule, for each day after the date on 8 which a perpetual care cemetery’s annual report is due that the 9 perpetual care cemetery fails to file the report. The late fee 10 shall be collected by the commissioner and deposited pursuant 11 to section 505.7. 12 DIVISION VII 13 STATE INNOVATION WAIVER 14 Sec. 71. NEW SECTION . 505.18A State innovation waivers. 15 1. The commissioner of insurance may develop by rule 16 a state innovation waiver pursuant to section 1332 of the 17 federal Patient Protection and Affordable Care Act, Pub. L. No. 18 111-148. 19 2. The commissioner of insurance may submit an application 20 on behalf of the state to the United States secretary of health 21 and human services and the United States secretary of the 22 treasury for the state innovation waiver developed pursuant to 23 subsection 1. 24 3. If a state innovation waiver submitted pursuant to 25 subsection 2 is approved by the United States secretary of 26 health and human services and the United States secretary of 27 the treasury, the commissioner of insurance may implement the 28 state innovation waiver in a manner consistent with applicable 29 state and federal law. 30 4. The commissioner of insurance may adopt emergency 31 rules under section 17A.4, subsection 3, and section 17A.5, 32 subsection 2, paragraph “b”, to implement the provisions of 33 this section and the rules shall be effective immediately upon 34 filing unless a later date is specified in the rules. Any 35 -40- LSB 1333XD (7) 89 ko/rn 40/ 50
S.F. _____ H.F. _____ rules adopted in accordance with this section shall also be 1 published as a notice of intended action as provided in section 2 17A.4. 3 EXPLANATION 4 The inclusion of this explanation does not constitute agreement with 5 the explanation’s substance by the members of the general assembly. 6 This bill relates to various matters under the purview of the 7 insurance division of the department of commerce. The bill is 8 organized into seven divisions. 9 DIVISION I —— UNIFORM SECURITIES. Code section 502.304A 10 (expedited registration by filing for small issuers) is amended 11 to provide that an issuer, and a person registering as an 12 agent of the issuer, must pay the administrator a registration 13 fee established by the administrator, rather than the set 14 fee amounts of $100 (issuer) and $10 (person registering as 15 an agent) required by current law. Code section 502.321G 16 (fees) is amended to change the nonrefundable fee for a 17 registration statement filed by an offeror from $250 to an 18 amount established by the administrator. 19 Code section 502.410 (filing fees) is amended to change 20 the broker-dealer filing fee for an application or renewal 21 registration from $200 to an amount established by the 22 administrator. In addition, the filing fee for registration 23 or renewal as an agent is amended from $40 to an amount 24 established by the administrator. Of the agent registration 25 fees collected, 25 percent are appropriated to the securities 26 investor education and financial literacy training fund. 27 Current law provides that $10 of every $40 fee collected 28 goes to the fund. The filing fee for an investment adviser 29 application or renewal registration is amended from $100 to 30 an amount established by the administrator. The bill also 31 amends the filing fees for an investment adviser representative 32 application, renewal registration, and change of registration 33 from $30 to an amount established by the administrator. A 34 federal covered investment adviser must pay an initial fee 35 -41- LSB 1333XD (7) 89 ko/rn 41/ 50
S.F. _____ H.F. _____ and an annual notice fee in an amount established by the 1 administrator, rather than the $100 fee required under current 2 law. 3 DIVISION II —— INSURANCE. The bill amends Code section 4 505.30 (service of process on the commissioner) to specify 5 that the commissioner of insurance (commissioner) may set a 6 reasonable fee for service made on the commissioner. 7 The bill amends Code section 507A.4 (transactions where law 8 not applicable) and provides that Code chapter 507A does not 9 apply to a multiple employer welfare arrangement (MEWA) or a 10 MEWA formed as an association health plan (AHP) that meets the 11 requirements of Code chapter 513D. The bill strikes current 12 Code section 513D.1 (association health plans) and replaces it 13 with new provisions which detail the requirements for MEWAs and 14 AHPs that offer a plan to, or that maintain a group health plan 15 for, any resident of Iowa. “AHP” and “MEWA” are defined in the 16 bill. 17 The bill details the requirements of the annual filings with 18 the commissioner required of registered AHPs and MEWAs. The 19 bill provides that a MEWA that is recognized as tax-exempt 20 under Internal Revenue Code section 501(c)(9), and that is 21 registered with the commissioner prior to January 1, 2018, 22 shall not be considered an AHP unless the MEWA affirmatively 23 elects to be treated as an AHP. The bill makes conforming 24 changes to Code section 513D.2 (rules and enforcement). 25 Code section 507B.7 (cease and desist orders) is amended 26 to provide that a person who violates any order of the 27 commissioner, rather than just a cease and desist order as is 28 in current law, may, after notice and hearing be subject to a 29 monetary penalty and suspension or revocation of the person’s 30 license. 31 Code section 507E.2 (purpose) is amended by the bill to 32 require that an insurance fraud bureau investigator be no more 33 than 65 years of age. Current law does not place an upper 34 limit on the age for insurance fraud bureau investigators. 35 -42- LSB 1333XD (7) 89 ko/rn 42/ 50
S.F. _____ H.F. _____ The bill broadens the definition of “insurer” in Code 1 section 507E.2A (definitions) to include any corporation, 2 association, partnership, or individual engaged in the business 3 of insurance, including but not limited to a corporation, 4 association, partnership, or individual that issues a policy 5 of workers’ compensation, a self-insured business for purposes 6 of workers’ compensation liability, or a group or self-insured 7 plan. The bill specifically excludes a person required to be 8 licensed to sell, solicit, or negotiate insurance pursuant to 9 Code chapter 522B from the definition. 10 Code section 507E.8 (law enforcement authority) is amended 11 by the bill to specify that an individual who is employed by 12 the insurance division and is designated as a peace officer 13 shall be considered a law enforcement officer and shall 14 exercise the powers of a law enforcement officer as detailed 15 in the bill. 16 The bill amends Code section 508E.3 (license requirements)to 17 change the application and renewal fees for a viatical 18 settlement provider and a viatical settlement broker from $100 19 to an amount established by the administrator. 20 Code section 509A.15 (certification of self-insurance plans 21 —— exemption) is amended to change the filing fee for the end 22 of fiscal year filing of a governing body of a self-insurance 23 plan of a political subdivision or a school corporation from 24 $100 to an amount established by the commissioner. The current 25 $15 per day penalty for late filings is changed to a late fee 26 established by the commissioner. 27 The bill makes conforming changes to Code section 510.21 28 (certificate of registration) and also requires that an 29 application for registration as a third-party administrator be 30 accompanied by a filing fee as established by the commissioner. 31 Current law does not require submission of a filing fee. 32 The bill strikes and replaces Code section 510.23 (unfair 33 competition or unfair and deceptive acts or practices 34 prohibited) and makes third-party administrators that violate 35 -43- LSB 1333XD (7) 89 ko/rn 43/ 50
S.F. _____ H.F. _____ Code chapter 507B or 510 subject to the sanctions and penalties 1 set out in Code section 507B.7. Third-party administrators are 2 subject to Code chapter 507B under current law. 3 Code section 511.24 (fees from domestic and foreign 4 companies) is amended to change specific dollar amounts for 5 certain filing fees for foreign or domestic life insurance 6 companies to fee amounts determined by the commissioner. 7 The bill makes conforming changes to Code section 512B.24 8 (reports) and requires that the annual filing by fraternal 9 benefit societies be accompanied by a fee established by the 10 commissioner, rather than $50 as required by current law. 11 The bill makes conforming changes to Code section 512B.25 12 (annual license —— renewal) and requires that for each license 13 or renewal application a fraternal benefit society submit a fee 14 established by the commissioner, rather than $50 as required by 15 current law. The bill also changes the current administrative 16 penalty of $500 for a late renewal filing to a late fee as 17 established by the commissioner. 18 The bill makes conforming changes to Code chapter 514G 19 (long-term care insurance) and amends the Code chapter 20 to change the terminology throughout the Code chapter 21 from “independent review entity” to “independent review 22 organization”. 23 Code chapter 515.147 (fees) is amended to change filing 24 fees for certain filings from specific dollar amounts to fees 25 determined by the commissioner. The bill makes conforming 26 changes to and amends Code section 515A.10 to provide more 27 specific requirements related to licensing requirements, fees, 28 and penalties for advisory organizations. 29 The bill amends Code section 515F.8 (licensing advisory 30 organizations) to require licensing advisory organizations 31 to submit a fee, determined by the commissioner, with their 32 application for a license, and makes the license effective for 33 three years, rather than the one year under current law. 34 Code section 515F.32 is amended to add reciprocal insurers 35 -44- LSB 1333XD (7) 89 ko/rn 44/ 50
S.F. _____ H.F. _____ to the definition of “insurer”. Code section 515F.36 is 1 amended to change the makeup of the membership of the governing 2 committee that administers the FAIR plan. The bill creates a 3 new requirement that if basic property insurance coverage is 4 canceled or not renewed other than for nonpayment of a premium 5 pursuant to Code section 515.125, 515.126, 515.127, 515.128, 6 518.23, or 518A.29, the insurer must notify the named insured 7 that they may be eligible for basic property insurance through 8 the FAIR plan, and the notice must accompany the notice of 9 cancellation or the intent not to renew. 10 The bill amends Code section 515I.4 (requirements for 11 eligible surplus lines insurers) to allow a nonadmitted 12 insurer seeking to qualify as an eligible surplus line insurer 13 the option of demonstrating that the nonadmitted insurer 14 has capital and surplus under the laws of the nonadmitted 15 insurer’s domiciliary that equal the risk-based capital level 16 requirements required by Iowa law. Current law requires the 17 nonadmitted insurer to demonstrate that the nonadmitted insurer 18 has capital and surplus under the laws of the nonadmitted 19 insurer’s domiciliary that equal the greater of the minimum 20 capital and surplus required under the laws of this state, or 21 $15 million. 22 Code section 520.12 (certificate of authority —— renewal —— 23 penalties) is amended to change the annual renewal fee for a 24 reciprocal or interinsurance insurer from $500 to be submitted 25 to the treasurer of state, to an administrative fee as 26 established by the commissioner to be paid to the commissioner. 27 The bill amends Code section 521.18 (articles of merger 28 or consolidation) to change the fee for specific companies 29 to file a plan to merge or consolidate from $50 to an amount 30 established by the commissioner. 31 Code section 522.9 (penalties) is amended to allow the 32 commissioner to deposit penalties that have been collected due 33 to insurers’ failure to file a timely own risk and solvency 34 assessment summary report pursuant to Code section 505.7. 35 -45- LSB 1333XD (7) 89 ko/rn 45/ 50
S.F. _____ H.F. _____ Current law requires the commissioner to deposit the penalties 1 into the general fund of the state. 2 Code section 522A.5 (counter employee —— license fee) is 3 amended to change the license fee for a counter employee from 4 $50 to an amount established by the commissioner, and removes 5 the cap of $1,000 per calendar year for all combined fees paid 6 by any one rental company. 7 The bill amends Code section 522B.5 (application for 8 license) to change the application fee for a resident insurance 9 producer license from $50 to an amount established by the 10 commissioner. 11 Code section 522E.4 (application and fees) is amended to 12 change the application fee for a portable electronics insurance 13 license from a variable dollar amount to an amount established 14 by the commissioner. The bill also removes the $5,000 cap 15 on the total application fees that can be charged for the 16 licensure of a portable electronics vendor with multiple 17 locations. 18 The bill makes conforming changes to Code sections 508E.2 19 (definitions), 509.1(9) (form of policy), 509.19(2) (claims 20 and premium disclosures), 515A.2 (definitions), 515A.6 21 (rating organizations), 515A.10 (advisory organizations), 22 515D.4 (notice of cancellation —— reasons), 515D.5 (delivery 23 of notice), 515D.6 (prohibited reasons), 515D.7 (notice of 24 intent), 515D.10 (hearing before commissioner), and 515F.2 25 (definitions). 26 DIVISION III —— CEMETERY AND FUNERAL MERCHANDISE AND FUNERAL 27 SALES. The bill amends Code section 523A.204 (preneed seller 28 annual reporting requirements) to require preneed sellers to 29 file an annual report by April 15 rather than the current date 30 of April 1. The bill changes the filing fee for the report 31 from $10 to an amount established by the commissioner. The 32 bill allows the commissioner to impose a late fee for each 33 day the report is late, up to a maximum of $500. The fee is 34 to be collected by the commissioner and deposited pursuant to 35 -46- LSB 1333XD (7) 89 ko/rn 46/ 50
S.F. _____ H.F. _____ Code section 505.7. Code section 523A.501 (preneed sellers —— 1 licenses) is amended to specify that preneed sellers’ licenses 2 expire annually on April 30, rather than the current expiration 3 date of April 15. The bill changes the filing fee for a 4 multijurisdictional preneed seller’s license that is issued by 5 another jurisdiction from $50 to an amount established by the 6 commissioner. 7 The bill amends Code section 523A.502 (sales agents —— 8 licenses) to specify that sales agents’ licenses expire 9 annually on April 30, rather than the current expiration date 10 of April 15, and an agent must have fulfilled continuing 11 education requirements to qualify for renewal. Code section 12 523A.502A (sales agent annual reporting requirements) is 13 amended to require sales agents to file an annual report by 14 April 15, rather than the current date of April 1. The bill 15 allows the commissioner to impose a late fee for each day that 16 the annual report is late, up to a maximum of $500. The fee is 17 to be collected by the commissioner and deposited pursuant to 18 Code section 505.7. 19 The bill strikes and replaces Code section 523A.601 20 (disclosures) and requires that all purchase agreements, 21 including those delivered or executed by electronic means, 22 identify a sales agent. Purchase agreements must also be 23 reviewed by the sales agent and signed by the purchaser and 24 seller. If a purchase agreement is for mortuary science 25 services, the purchase agreement must also be signed by a 26 person licensed to deliver funeral services. 27 The bill amends Code section 523A.812 (insurance division 28 regulatory fund) to allocate an amount established by the 29 commissioner to the regulatory fund from the filing fees for 30 each purchase agreement reported on a preneed seller’s annual 31 report. Current law requires the commissioner to allocate 32 $2 from each filing fee to the regulatory fund. The bill 33 also removes the prohibition on an annual allocation to the 34 regulatory fund if the current balance exceeds $500,000. 35 -47- LSB 1333XD (7) 89 ko/rn 47/ 50
S.F. _____ H.F. _____ Code section 523A.814 (examination fee) is amended to change 1 the examination fee for a seller’s annual report from $5, 2 or other set dollar amount, to an amount established by the 3 commissioner. 4 The bill makes conforming changes to Code section 523A.807 5 (prosecutions for violations of law). 6 DIVISION IV —— RESIDENTIAL AND MOTOR VEHICLE SERVICE 7 CONTRACTS. Code section 523C.3 (application for license) 8 is amended to change the $500 fee for an application for 9 a service company license to a fee established by the 10 commissioner. The current fee of $50 for each motor vehicle 11 service contract form submitted with an application is also 12 changed to a fee as established by the commissioner. Code 13 section 523C.4 (license expiration and renewal) is amended to 14 change the license renewal fee of $500 to a fee established 15 by the commissioner. The bill amends the fee, based on the 16 aggregate amount of payments a licensee received for the sale 17 or issuance of residential service contracts in this state 18 during the preceding fiscal year, from 3 percent per contract 19 to a percentage established by the commissioner by rule, and 20 also removes the minimum and maximum dollar amount of fees 21 that a licensee is required to submit. In addition, the bill 22 amends the fee for each motor vehicle service contract form 23 submitted with an application from $50 to a fee established by 24 the commissioner. 25 Code section 523C.24 (service company oversight fund) is 26 amended to allow the commissioner to establish the amount 27 deposited in the service company oversight fund from all 28 licensing, examination, renewal, and inspection fees collected 29 under Code chapter 523C. The bill also removes the current 30 $500,000 maximum cap on fees that may be deposited in the fund 31 each fiscal year. 32 DIVISION V —— RETIREMENT FACILITIES. Code section 523D.2A 33 is amended to change the administrative fee submitted by a 34 provider with its certification filing from $100 to an amount 35 -48- LSB 1333XD (7) 89 ko/rn 48/ 50
S.F. _____ H.F. _____ established by the commissioner. 1 DIVISION VI —— IOWA CEMETERY ACT. Code section 523I.102 2 (definitions) is amended to exclude specific cemeteries, under 3 the jurisdiction and control of a cemetery commission that 4 has jurisdiction and control over pioneer cemeteries, from 5 the definition of “cemetery” for purposes of Code chapter 6 523I. Code section 523I.213 (insurance division’s enforcement 7 fund) is amended to remove the cap on the allocation to the 8 insurance division’s enforcement fund of examination fees paid 9 by perpetual cemeteries with their annual report. The bill 10 requires the commissioner to deposit all of the examination 11 fees in the enforcement fund. 12 Code section 523I.301 (disclosure requirements —— prices 13 and fees) is amended to require cemeteries to disclose, prior 14 to the sale of interment rights, whether opening and closing 15 services are included in the purchase price. The bill also 16 requires cemeteries to disclose all fees associated with 17 disinterment services. 18 Code section 523I.309 (interment, relocation, or 19 disinterment of remains) is amended to require cemeteries 20 to disinter and relocate remains interred in a cemetery for 21 the purpose of correcting an error made by the cemetery, 22 unless the interested parties have a written agreement 23 directing otherwise. The cemetery must bear all costs of 24 the disinterment and relocation. Current law permits, but 25 does not require, a cemetery to disinter and relocate such 26 remains, and the cemetery is not required to bear the cost of 27 disinterment and relocation. The bill also allows cemeteries 28 to be held civilly and criminally liable for erroneously made 29 interments. Current law exempts cemeteries from civil and 30 criminal liability for erroneously made interments. 31 The bill amends Code section 523I.808 (examination fee) to 32 require an examination fee, established by the commissioner, 33 for each certificate of interment rights issued during the 34 period covered by a perpetual care cemetery’s annual report. 35 -49- LSB 1333XD (7) 89 ko/rn 49/ 50
S.F. _____ H.F. _____ Under current law, the fee is $5 per certificate. 1 The bill amends Code section 523I.813 (annual report by 2 perpetual care cemeteries) to allow, rather than to require, 3 the commissioner to impose a late penalty on a perpetual care 4 cemetery that fails to timely file its annual report. 5 DIVISION VII —— STATE INNOVATION WAIVER. The bill 6 authorizes the commissioner to develop by rule a state 7 innovation waiver (waiver) pursuant to section 1332 of the 8 federal Patient Protection and Affordable Care Act, Pub. L. No. 9 111-148, and to submit an application on behalf of the state 10 to the United States secretary of health and human services 11 and the United States secretary of the treasury (secretaries) 12 for the waiver. If a waiver is approved by the secretaries, 13 the commissioner is authorized to implement the waiver in a 14 manner consistent with applicable state and federal law. The 15 bill authorizes the commissioner to adopt emergency rules 16 to implement the waiver and the rules are to be effective 17 immediately upon filing unless a later date is specified in the 18 rules. Any rules that are adopted must also be published as a 19 notice of intended action. 20 -50- LSB 1333XD (7) 89 ko/rn 50/ 50